Kenyetta N. Broughton-Floyd in Park Forest - School
Kenyetta N. Broughton-Floyd - NPI 1104030139
Kenyetta N. Broughton-Floyd is a School in Park Forest, Illinois. Kenyetta N. Broughton-Floyd practices all healthcare services and medical treatments related to School. The NPI Number for Kenyetta N. Broughton-Floyd is 1104030139. The last update date is 2007-07-08.
Kenyetta N. Broughton-Floyd's current location address is Po Box 992, Park Forest, Illinois. You can contact this provider via phone number 3122389128 and fax number 7084340811. The mailing address for Kenyetta N. Broughton-Floyd is Po Box 992, Park Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenyetta N. Broughton-Floyd |
|---|---|
| Address | Po Box 992, Park Forest, Illinois |
| Phone Number | 3122389128 |
| Fax Number | 7084340811 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104030139 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 992 |
|---|---|
| City | Park Forest |
| State | Illinois (IL) |
| Post Code | 604660992 |
| Phone Number | 3122389128 |
| Fax Number | 7084340811 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 101Ys0200X |
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Definition: A counselor who works with students in elementary, middle, and high schools. |
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Post Comment/ Review Below
What is the unique identification code assigned to Kenyetta N. Broughton-Floyd by the Centers for Medicare & Medicaid Services?
The Kenyetta N. Broughton-Floyd has been issued the NPI (National Provider Identifier) 1104030139. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenyetta N. Broughton-Floyd is geographically located?
The Kenyetta N. Broughton-Floyd is physically situated at the following location: Po Box 992, Park Forest, IL, 604660992.
What is the Kenyetta N. Broughton-Floyd's area of specialization and corresponding taxonomy classification?
The Kenyetta N. Broughton-Floyd's specialty field is School, and it falls under the taxonomy code 101Ys0200X, which categorizes healthcare providers based on their specialties.
On what date was the 1104030139 assigned to Kenyetta N. Broughton-Floyd?
The Kenyetta N. Broughton-Floyd was issued its 1104030139 on 2007-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kenyetta N. Broughton-Floyd last refreshed?
The information related to the Kenyetta N. Broughton-Floyd, including its address, specialty, and other relevant details, was last updated on 2007-07-08.